Aorta Quiz

All answers are directly  from the article  Jan 20, 2015 – Recommendations for echocardiographic chamber quantification were last published in 2005 by the American Society of. Echocardiography 1.How do you measure the LVOT diameter  or aortic annulus ? 2. How do you measure the aortic root? 3. What determines the size of the aortic root? Read more about Aorta Quiz[…]

Question 1 : Assessment of fluid status with ECHO

Question 1 A haemodynamically decompensating patient requires assessment of the intravascular fluid status. Describe the Doppler echo cardiographic methods that can assist outlining the supportive evidence for their use, in addition to any obvious limitations in their application Assessment of fluid status can be achieved by using the LVOT VTI as a surrogate for stroke Read more about Question 1 : Assessment of fluid status with ECHO[…]

Question 2 : Pericardial disease

Question 2. Discuss the use and value of echocardiography in evaluating pericardial disease of various types Value is to look at the pericardium for structural abnormalities (thickening/calcification), assess associated pericardial effusions (may have strands suggesting inflammatory more chronic problem, may be anechoic, may show swirling cells) , look for haemodynamic signs of pericardial constriction. Pericardial Read more about Question 2 : Pericardial disease[…]

Question 3 : Complications of myocardial infarction

Discuss the use of Echocardiography/Doppler in the assessment of the complications of acute myocardial infarction Acute/subacute complications Cardiogenic shock Thrombus formation Myocardial rupture Papillary muscle rupture Ischaemic ventricular septum defect Chronic Remodelling of the heart Aneurysm Right heart failure Late thrombus Mitral regurgitation Assessment using ECHO Regional wall abnormalities Will depend on size and coronary Read more about Question 3 : Complications of myocardial infarction[…]

Question 4 : Severe back pain

Question 4  A 45 year old presents with sudden onset of severe acute central chest and back pain suggestive of acute dissection. Discuss the role of transthoracic and transoesophageal echo –cardiography in the initial assessment and ongoing management Role of ECHO in initial assessment: Differentiate between aortic dissection and other causes of chest pain such Read more about Question 4 : Severe back pain[…]

Question 5: septic shock

Describe the echocardiographic features not uncommonly seen in the patient with septic shock 1. ECHO exam may be normal 2. Sepsis induced  cardiomyopathy: Left Ventricular contraction impairment which may be global or segmental. MASPE < 8mm EF  < 52%  in men and < 54% in women (2) Left ventricular diastolic dysfunction:  Peak e’ velocity (cm/s) Read more about Question 5: septic shock[…]

Question 6: Right heart strain

Question 6 A pt presents with breathlessness : Describe the ultrasound findings that would suggest right heart strain and what features would suggest the findings is either acute or chronic ECHO findings suggestive of Right heart strain is TR velocity > 3.4m/s SPAP > 50 MmHg with or without additional echocardiographic variable suggestive of PH Read more about Question 6: Right heart strain[…]